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    Very sudden change in bladder....

    Ok.. so I think its time to have another urodynamics test . I just had one over the summer but I am starting to have a great deal amount of leakage every couple of hours. I am going to guess that this is not normal to have a very rapid change like that? Are there any specific questions I should ask or any ideas I could bring up as far as management goes?? Thanks

    Becky
    T8-9 according to latest scoring.......
    since 1/3/04

    I am the best at being me. No matter how that happens to be!!

    #2
    What are you doing for high pressures and bladder spasm now? How do you manage your bladder?

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      I cath every 4-6 hours... depending on my fluid intake. If I drink more then I will cath closer to 4 hours. I currently do not take any meds for spasms or anything.

      Becky
      T8-9 according to latest scoring.......
      since 1/3/04

      I am the best at being me. No matter how that happens to be!!

      Comment


        #4
        So when you had urodynamics last, what was your PdetMax? How much bladder instability did it show? You most likely do need to be on medications (anticholenergic meds) to prevent the leakage and high pressures. Most people with SCI and a neurogenic bladder do need them. If they are tried, and don't work, then Botox may be the next step.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

        Comment


          #5
          Originally posted by SCI-Nurse View Post
          So when you had urodynamics last, what was your PdetMax? How much bladder instability did it show? You most likely do need to be on medications (anticholenergic meds) to prevent the leakage and high pressures. Most people with SCI and a neurogenic bladder do need them. If they are tried, and don't work, then Botox may be the next step.

          (KLD)
          My PdetMax value was 55 and the urologist said my bladder instability was mild-moderate. I think your right that meds probably are now needed. I was trying to avoid them .

          Becky
          Last edited by bcsimpsons; 18 Jan 2012, 4:10 AM.
          T8-9 according to latest scoring.......
          since 1/3/04

          I am the best at being me. No matter how that happens to be!!

          Comment


            #6
            Your PdetMax should not be over 40 for best long term kidney health.

            (KLD)
            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

            Comment


              #7
              I was told over 50. Is this old info? Im assuming the best thing to do would be to make an appointment to get values rechecked? Or should I just start trying meds and recheck in a few months?

              Becky
              T8-9 according to latest scoring.......
              since 1/3/04

              I am the best at being me. No matter how that happens to be!!

              Comment


                #8
                Talk to your urologist. All research shows that 40 is the "magic number". This is based on scientific physiologic information as well as long term out-come studies.

                (KLD)
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment


                  #9
                  Ok.... definitely going to be calling the urologist today! Thanks!!

                  Becky
                  T8-9 according to latest scoring.......
                  since 1/3/04

                  I am the best at being me. No matter how that happens to be!!

                  Comment

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